Individual provider Active NPI

Jesse Daniel Sarlin, L.C.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1700264850
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085237 Issued in NY
Practice address
718 Washington Ave
Apt. 3
Brooklyn, NY 11238-2259
Phone
(201) 341-3273
NPI assigned
May 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090702 NY
Clinical Social Worker 1041C0700X 085237 NY Primary

Addresses

Primary practice location

718 Washington Ave
Apt. 3
Brooklyn, NY 11238-2259

Mailing address

148 Wilson Ave
Brooklyn, NY 11237-8042
Phone (347) 474-8464

Other practice location 1

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone (718) 954-3800 ext. 205

Other practice location 2

148 Wilson Ave
Brooklyn, NY 11237-8042
Phone (201) 341-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201001653 NY Practitioner - Clinical Social Worker 2769742204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090702NYMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700264850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378042",
            "telephone_number": "347-474-8464",
            "fax_number": "347-630-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WASHINGTON AVE",
            "address_2": "APT. 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382259",
            "telephone_number": "201-341-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291209",
            "country_code": "US",
            "telephone_number": "718-954-3800 x205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112378042",
            "country_code": "US",
            "telephone_number": "201-341-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARLIN",
        "first_name": "JESSE",
        "middle_name": "DANIEL",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090702",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.